2003-2007年广州市荔湾区居民恶性肿瘤死因及减寿分析

Analysis on Death Causes and Years of Life Lost of Malignant Tumors among Inhabitants in Liwan District of Guangzhou City from 2003 to 2007

目的了解2003-2007年广州市荔湾区居民的恶性肿瘤死亡状况,为恶性肿瘤的防治工作提供参考依据。方法应用死亡率、标化死亡率、潜在减寿年数(PYLL)、潜在减寿率(PYLLR)及标化潜在减寿年数(SPYLL)、标化潜在减寿率(SPYLLR)等指标分析2003—2007年该地区居民恶性肿瘤死亡情况。结果2003—2007年广州市荔湾区居民恶性肿瘤年均死亡率为198.81/10万。在各类恶性肿瘤中,肺癌死亡率63.08/10万,居恶性肿瘤死因首位;其次是肝癌、肠癌、胃癌、鼻咽癌,死亡率分别为32.09/10万、21.71/10万、10.39/10万、9.25/10万。不同性别、年龄居民的主要恶性肿瘤死亡率及构成比有较大差别。全人群主要恶性肿瘤按PYLLR排序,依次为肝癌(0.371%)、肺癌(0.353%)、鼻咽癌(0.137%)、肠癌(0.116%)、乳腺癌(0.090%)。结论2003—2007年广州市荔湾区居民恶性肿瘤死亡率较高,肝癌、肺癌、鼻咽癌、肠癌、乳腺癌是该地区肿瘤防治重点。

Objective To investigate the death cause of malignant tumors among Inhabitants in Liwan district of Guangzhou city. Methods Mortality rate, standardized mortality rate,Potential Years of Life Lost （PYLL）, PYLLR, Standardized Potential Years of Life Lost （SPYLL） and SPYLLR were used to analyze the death cause of malignant tumors. Results The annual average mortality rate of malignant tumors was 198.81/10^5. Among malignant tumors, lung cancer taken the lead with a mortality rate of 63.08/10^5. The next sequences were as follows： liver cancer, intestine cancer, stomach cancer, nasopharyngeal cancer. The sequence of death causes was mostly influenced by gender and age. The sequences of PYLL rate of main death causes were： liver cancer （0.371%）, lung cancer （0.353%）, nasopharyngeal cancer（0.137%）, intestine cancer（0.116%）and mammary cancer（0.090%）. Conclusion The mortalities of malignant tumors in Liwan district of Guangzhou city decreased in the past five years while the rank of top 5 cancer sites kept unchanged.